Individual provider Active NPI

Tamala Kay Gilardi, LCSW

  • Clinical Social Worker
  • Harrisonburg, VA
National Provider Identifier
1326053711
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005751 Issued in VA
Practice address
1951 Evelyn Byrd Ave
Suite B
Harrisonburg, VA 22801-3483
Phone
(540) 820-7673
Fax
(540) 437-0421
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005751 VA Primary

Addresses

Primary practice location

1951 Evelyn Byrd Ave
Suite B
Harrisonburg, VA 22801-3483

Mailing address

1951 Evelyn Byrd Ave
Suite B
Harrisonburg, VA 22801-3483
Phone (540) 820-7673

Other identifiers 3

IdentifierTypeStateIssuer
010165989MedicaidVA
179044OtherVAANTHEM
085360MOtherVASENTARA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904005751VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Counseling Group, Inc Past Accepting new patients
Shenandoah Psychological Services, LLC PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1326053711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 EVELYN BYRD AVE",
            "address_2": "SUITE B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013483",
            "telephone_number": "540-820-7673",
            "fax_number": "540-437-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 EVELYN BYRD AVE",
            "address_2": "SUITE B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013483",
            "telephone_number": "540-820-7673",
            "fax_number": "540-437-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILARDI",
        "first_name": "TAMALA",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010165989",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "179044",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "085360M",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.